Nutrition Solutions November 2022
Welcome to Nutrition Solutions November 2022!  We are excited to have you join us and to help you accomplish your health and nutrition goals.  Please fill out this form to the best of your ability.  Remember, this is not about judgment AT ALL - we want to get an idea of where you are starting out so we can help you get to where you want to go.  Your answers are confidential and will be used to guide us in creating content specific to YOUR goals and needs, so please fill this form out honestly and to the best of your abilities.

Once you fill out this form, please pay via our Square site:

We will invite you to the Facebook group the week of October 24th.
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Email *
What is your name? *
How old are you? *
Are you pregnant? *
Are you breastfeeding? *
How many children do you have and what are their ages? *
What are 2-3 goals you have for your nutrition? *
On a scale of 1-10, where do you rate yourself with regards to nutrition? (10 = my nutrition is amazing!, 1 = I have a ways to go) *
What do you find challenging nutrition-wise about the holidays, if anything?
Are you a current member of MOMLETA?  If so, to which franchise do you belong (if none, write "NA")? *
Did a MOMLETA Instructor or Brand Ambassador refer you to Nutrition Solutions?  Please write her name, or if not, write "NA". *
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